Pre-Test 1 (Parents of youth ages 13-17) Cognitive Interview Screening

Pilot Implementation of the Violence Against Children and Youth Survey (VACS) in the US

OMB: 0920-1356

IC ID: 250641

Information Collection (IC) Details

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Pre-Test 1 (Parents of youth ages 13-17) Cognitive Interview Screening
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Cognitive interview screening Attachment S_Cognitive Interview Screener.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

25 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 25 0 0 0 0 25
Annual IC Time Burden (Hours) 4 0 0 0 0 4
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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